HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
SUTTER SANTA ROSA REGIONAL HOSPITAL
CA · Facility ID 050291 · FY2026
Total HAC Score
-0.5193
Percentile
19.3th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.5193. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.
Data completeness
Reported on 6 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.
- PSI-90z 0.296
- CLABSIz -0.866
- CAUTIz -1.044
- SSIz -1.177
- CDIz -0.576
- MRSAz 0.250
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 0.2963 | -0.8160 | -0.1502 | 0.6657 |
| CAUTI | -1.0438 | -0.5651 | 0.0523 | 0.6175 |
| MRSA | 0.2502 | -0.8039 | -0.1902 | 0.6137 |
| CDI | -0.5755 | -0.6671 | -0.0579 | 0.6092 |
| CLABSI | -0.8660 | -0.6094 | -0.0016 | 0.6078 |
| SSI | -1.1773 | -0.5659 | 0.0388 | 0.6047 |
Swing is a mechanics illustration: replace one reported Z with that measure’s observed floor or cap while holding others fixed. Ranked by absolute swing.
Peer context
Percentile within CA (277 scored): 17.1th
Hospital score -0.5193. Penalty threshold 0.3792. Distribution of 277 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 13.5th
Hospital score -0.5193. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.5193; threshold 0.3792).
Reported on 6 of 6 measures; each reported measure moves the equal-weighted score by 0.1667 points.
Describes scoring mechanics only. Not medical or legal advice. Any “would / would not” language is an illustration against the published threshold, not a CMS prediction.